Post-Sinus Surgery MRI Insights: Understanding Headaches and Ear Pain
Magnetic Resonance Imaging (MRI) two months post-sinus surgery? Due to headaches, dizziness, deep pain in the right ear, and weakness in the right leg, a magnetic resonance imaging (MRI) was performed two months after chronic sinusitis surgery, and I have not yet recovered. I wou...
Dr. Gao Chunde reply Neurology
You may consider consulting a neurosurgeon to review your actual MRI images. Based on their experience, they can determine whether the condition of the right anterior inferior cerebellar artery in relation to the seventh and eighth cranial nerves can explain your current clinical...[Read More] Post-Sinus Surgery MRI Insights: Understanding Headaches and Ear Pain
Persistent Numbness in Left Foot: Causes and Solutions
Numbness in the left foot has persisted for two to three days? Hello: Initially, I experienced pain in my left knee, and after a day, my left foot began to feel numb, with the sensation more pronounced in the sole of my foot. After two to three days, the numbness in my left foot ...
Dr. Gao Chunde reply Neurology
Hello, based on the symptoms you described, it is difficult to determine which specific nerve may be affected. However, there is indeed an issue with the peripheral nerves in the lower extremities. Given that these symptoms persist, it is advisable to visit a neurology clinic for...[Read More] Persistent Numbness in Left Foot: Causes and Solutions
Understanding Sciatica: Symptoms, Diagnosis, and Treatment Options
Sciatica Hello, doctor. In July of this year, I experienced slight lower back pain while moving feed for my aquaculture business. I went to Mackay Memorial Hospital for acupuncture and manual therapy, but after returning home, my symptoms worsened. I experienced pain and numbness...
Dr. Gao Chunde reply Neurology
Based on the symptoms you described, it does appear to be sciatica. However, common causes such as herniated discs, other nerve compressions, or inflammatory lesions have been ruled out. This leads us to consider some rare causes, which would require a nerve biopsy and subsequent...[Read More] Understanding Sciatica: Symptoms, Diagnosis, and Treatment Options
Could Your Sleep Disturbances Indicate Brain Hypoxia Symptoms?
Are these symptoms of cerebral hypoxia? Recently, I sometimes wake up after about 4-5 hours of sleep, feeling uncomfortable as if I have slept too long (like brain hypoxia). This has been happening about 3-4 days a week. I have had a CT scan of my brain, and there were no abnorma...
Dr. Gao Chunde reply Neurology
Sleep-related brain hypoxia is often associated with sleep disorders, particularly obstructive sleep apnea, which must be diagnosed through a sleep study to determine its severity. If obstructive sleep apnea is not the cause, one should consider that daytime stress and tension ma...[Read More] Could Your Sleep Disturbances Indicate Brain Hypoxia Symptoms?
Understanding Dizziness and Nausea: When to See a Neurologist
Dizziness and nausea issues? Hello, the other day on the train, I felt dizzy and nauseous due to the stuffy air and wearing a thick coat while carrying heavy items. After sitting down, I started to break out in a cold sweat. It took about half an hour of resting after getting off...
Dr. Gao Chunde reply Neurology
If similar symptoms such as dizziness, nausea, and cold sweats do not occur again, it may be reasonable to observe the situation, as it could have been a temporary reaction to environmental factors. However, if similar episodes persist, it would be advisable to consult a neurolog...[Read More] Understanding Dizziness and Nausea: When to See a Neurologist
Can Migraine and Neuralgia Occur Together? Understanding the Connection
Headache and neuropathic pain? Doctor, can migraine and neuralgia occur simultaneously? I have issues with migraines, and the doctor I consulted mentioned that I seem to have some characteristics of neuralgia, so I would like to ask about this. Thank you!
Dr. Gao Chunde reply Neurology
Yes, the two types of pain have different characteristics, and the physician will make a professional assessment based on your description.[Read More] Can Migraine and Neuralgia Occur Together? Understanding the Connection
Understanding Neck Pain: What Causes Numbness and Discomfort?
Could you please specify which area you are referring to? Could you please clarify if the physician sometimes wakes up after sleeping too long and experiences a hand-shaped sensation on the upper neck, approximately 2-5 centimeters in size? When gently tapping that area, there is...
Dr. Gao Chunde reply Neurology
This is the cerebellum, the location of the brainstem, which serves as the center for vital functions, and an area through which important neurovascular structures pass.[Read More] Understanding Neck Pain: What Causes Numbness and Discomfort?
Treatment Options and Risks for Ulnar Nerve Injury Causing Finger Numbness
Numbness in the hands After undergoing nerve conduction studies, if the ulnar nerve is damaged due to tension at the elbow, resulting in numbness in the two fingers, what treatment options are available? What are the treatment risks?
Dr. Gao Chunde reply Neurology
Initially, conservative treatment is recommended, including oral medications and avoiding further compression or tension on the elbow nerve. If the condition continues to worsen, surgical intervention may be necessary. It is advisable to consult a neurosurgeon for professional ad...[Read More] Treatment Options and Risks for Ulnar Nerve Injury Causing Finger Numbness
Understanding Facial and Hand Numbness: Causes and Concerns
Intermittent numbness around the eyes, mouth, and hands? Hello, doctor. I would like to ask about experiencing intermittent numbness in my face and hands over the past year, primarily around the eyes, mouth, and fingers. The numbness gradually intensifies, leading to twitching ar...
Dr. Gao Chunde reply Neurology
The symptoms are similar to mild hyperventilation syndrome, occurring during emotional stress or pressure. The sensation of insufficient breathing increases the respiratory rate, leading to a decrease in carbon dioxide levels in the blood and causing vasoconstriction, which may r...[Read More] Understanding Facial and Hand Numbness: Causes and Concerns
Understanding Sleep Disorders: Insights from Neurology After Surgery
Sleep issues Hello Doctor, I apologize for bothering you again. Last week, I had a sleep study three months after undergoing a sleep apnea surgery. The results showed that my Apnea-Hypopnea Index (AHI) decreased from nearly 30 to almost normal at 5 events per hour, with most even...
Dr. Gao Chunde reply Neurology
Pure sleep disorders with abnormal sleep architecture and no accompanying neurological deficits have a low likelihood of revealing brainstem or other cerebral lesions, though it is not impossible. The most common causes of sleep architecture abnormalities due to other neurologica...[Read More] Understanding Sleep Disorders: Insights from Neurology After Surgery
Unexplained Dizziness: Seeking Answers for Persistent Discomfort
It's really distressing to experience discomfort and dizziness without being able to identify the underlying issue? I do not smoke or drink alcohol, but due to a shift work schedule, my sleep patterns are quite irregular. Since early 2015, I have experienced occasional dizzi...
Dr. Gao Chunde reply Neurology
Based on your description, the initial dizziness is likely related to inner ear dysfunction, but it gradually transformed into a feeling of lightheadedness with occasional swaying. This can sometimes be attributed to anxiety stemming from the brain's perception of an unsafe ...[Read More] Unexplained Dizziness: Seeking Answers for Persistent Discomfort
Why Do I Experience Headaches Only After Crying at Night?
Headache issues? I would like to ask why I only get headaches when I cry at night, but not at other times.
Dr. Gao Chunde reply Neurology
In the literature, it has been noted that some individuals experience headaches due to crying, which can be attributed to changes in stress hormones as well as the contraction of head and neck muscles. As for the evening, it is likely related to the fatigue and tension accumulate...[Read More] Why Do I Experience Headaches Only After Crying at Night?
Understanding Arm and Shoulder Pain: Possible Causes and Next Steps
Pain in the back of the arm? Hello, doctor... At the beginning of December, I started experiencing soreness in my shoulder, arm, and chest muscles. It hurts when pressed, but only feels achy when not pressed. I later visited a rehabilitation specialist who performed no tests, onl...
Dr. Gao Chunde reply Neurology
You may have pressed on a trigger point located on the scapula, which can cause numbness and discomfort throughout the entire arm. This typically occurs in muscles that have been subjected to poor posture, lack of exercise, and sleep disturbances, leading to dysfunction in the mu...[Read More] Understanding Arm and Shoulder Pain: Possible Causes and Next Steps
Sudden Dizziness and Weakness: Understanding Neurological Symptoms
Sudden dizziness and weakness in the hand while holding a pen? Hello, doctor. Last night while lying in bed watching TV, I suddenly felt dizzy. When I stood up, I was unsteady on my feet, and I was even awakened in the middle of the night by dizziness. The next morning, I felt le...
Dr. Gao Chunde reply Neurology
Dizziness caused by dysfunction of the normal inner ear balance system can occur in episodes, as you mentioned. Certain movements or changes in posture may trigger these episodes again, leading to a gradual reduction in dizziness and a sensation of heaviness in the head. However,...[Read More] Sudden Dizziness and Weakness: Understanding Neurological Symptoms
Sudden Left Hand Weakness: Is It a Neurological Concern?
Sudden loss of dexterity in the left hand? Hello, Doctor. Since this morning, I've noticed that my left palm becomes very slow when I try to open it after closing it (it slows down when opening), but then it gets better. This situation occurs again when I unconsciously clasp...
Dr. Gao Chunde reply Neurology
This is a phenomenon of muscle stiffness, where the muscles continue to contract involuntarily during exertion and have a delayed relaxation. It may be an early symptom of certain specific muscle diseases, and it is recommended to consult a neurologist for further examination and...[Read More] Sudden Left Hand Weakness: Is It a Neurological Concern?
Understanding Strange Sleep Symptoms: Possible Links to Sleep Disorders
Strange Symptoms When Falling Asleep Hello, Doctor Gao: I've been experiencing a noticeable symptom for about the past six months. When I lie down to sleep, just as I'm about to fall asleep, I encounter what I can only describe as a sort of "dream," although m...
Dr. Gao Chunde reply Neurology
Based on your description, it is likely a type of rapid eye movement (REM) sleep disorder that occurs upon falling asleep, where one transitions directly into the dreaming phase, experiencing sleep paralysis and hypnagogic hallucinations. Many people occasionally experience this,...[Read More] Understanding Strange Sleep Symptoms: Possible Links to Sleep Disorders
Understanding Neck and Shoulder Pain: Possible Neurological Issues
Shoulder and neck pain? Hello, Doctor Gao. I have been experiencing frequent headaches and neck and shoulder pain. Sometimes my neck feels tight, my right leg feels sore, and my left hand occasionally feels weak. Could you please tell me what might be the issue?
Dr. Gao Chunde reply Neurology
If the left hand feels increasingly weak and persistent, it is important to consider issues related to the cervical spine or intracranial nerves, and further evaluation by a neurologist is recommended. If there is soreness, pain, or stiffness, it is mostly related to fatigue and ...[Read More] Understanding Neck and Shoulder Pain: Possible Neurological Issues
Understanding Unexplained Breast Itching: Is It a Nerve Issue?
Itchy breasts, is it a nerve issue? Dear Dr. Gao, I have been experiencing a sensitive itching sensation inside my right breast (not on the surface). I have undergone a breast ultrasound, but the doctor did not find any breast-related issues. I also consulted a dermatologist. Th...
Dr. Gao Chunde reply Neurology
Nerves are actually quite small, and magnetic resonance imaging (MRI) of the nervous system is mostly limited to the brain and spinal cord. Unless there is a specific mass compressing or invading peripheral nerves, or if there are particular formations such as neurofibromas or ne...[Read More] Understanding Unexplained Breast Itching: Is It a Nerve Issue?
Understanding Slow Nerve Conduction: Beyond Bone Spurs and MRI Follow-ups
Nerve conduction is slower - follow-up question? Continuing to ask Dr. Gao: The nerve conduction on the side of my waist is slower. Besides bone spurs, what other possibilities could there be? My doctor does not have any other X-rays for reference, so I am unsure how he concluded...
Dr. Gao Chunde reply Neurology
Slowed nerve conduction indicates that there may be an issue with that part of the nerve, prompting further investigation into potential underlying causes. For cerebral vascular malformations, regular monitoring is recommended, including assessment of clinical symptoms and imagin...[Read More] Understanding Slow Nerve Conduction: Beyond Bone Spurs and MRI Follow-ups
Why Melatonin Isn't Working for Your Sleep Issues?
Ineffective Melatonin Supplementation? Hello, Doctor Gao: I have struggled with unstable sleep since childhood, and I wonder if it is related to my severe ADHD. As an adult, the problem has only worsened. I often cannot fall asleep at the designated time, regardless of whether I ...
Dr. Gao Chunde reply Neurology
Insomnia can have many different causes. If you have taken the maximum dosage without any response, it is still advisable to consult a psychiatrist to evaluate whether there are other secondary factors interfering with your sleep.[Read More] Why Melatonin Isn't Working for Your Sleep Issues?